Provider Demographics
NPI:1942917497
Name:SHIAO, CHIA LI (DNP, FNP-C)
Entity type:Individual
Prefix:
First Name:CHIA LI
Middle Name:
Last Name:SHIAO
Suffix:
Gender:F
Credentials:DNP, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12480 N RANCHO VISTOSO BLVD STE 180
Mailing Address - Street 2:
Mailing Address - City:ORO VALLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:85755-1994
Mailing Address - Country:US
Mailing Address - Phone:520-742-4008
Mailing Address - Fax:
Practice Address - Street 1:12480 N RANCHO VISTOSO BLVD STE 180
Practice Address - Street 2:
Practice Address - City:ORO VALLEY
Practice Address - State:AZ
Practice Address - Zip Code:85755-1994
Practice Address - Country:US
Practice Address - Phone:520-742-4008
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-03
Last Update Date:2023-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ287012363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily